← Return to PSA Nadir main deciding factor when one can start on Intermittent ADT?

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@chippydoo

Excellent information! Gleason 9 Grade 5, staging 3ab, Cribriform 3,4,5. RP 2.5 years ago, BCR .22 at 2-year post RP. Undergoing 25 salvage with 6 months ADT. Seems light from what you pasted.
Thank you for the information. Sadly, no NCCN center here.
Chip

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Replies to "Excellent information! Gleason 9 Grade 5, staging 3ab, Cribriform 3,4,5. RP 2.5 years ago, BCR .22..."

Chippy, if you are not done with your 6 mos ADT, I would try talking to your medical oncologist about staying on it for another six months. Your RO may not be looking as closely at your combination of factors, you know?
I had 6 months Orgovyx during salvage radiation and my original Gleason was 4+3 - and it took 5 years to slowly recur. Your situation seems a bit more aggressive so longer ADT would probably be a benefit.
Yeah, it sucks all around but what can you do but grit your teeth and plow ahead. Best
Phil

@heavyphil has already said what I would recommend you inquire about.

NCCN is a standards group that sets guidelines for treatment of cancer. Doctors use it to backup their recommendations.